Description: This presentation is an open forum from the 1991 Meeting of the Society of Actuaries, held June 3-5 in Colorado Springs. The panelists debate on who should pay for medical care for the uninsured, and how it should be financed. The debaters represent advocates of private, voluntary, and cooperative private state solutions and state or government intervention to finance health care for the uninsured. Discussion from participants is included. From the Record of Society of Actuaries, Volume 17, No. 3B.

Description: From session 30OF at a meeting of the Society of Actuaries held in Las Vegas, NV May 22-24, 2000 This session introduces a popular new model, the Quality Compass Model, which seeks to balance concerns regarding consumer satisfaction, clinical outcomes, cost, and utilization.

Description: This session discussed Managing The Delivery Of Health Care To Control Medical Costs. Includes organizational & marketing strategies, rate strategies, selection issues, plan design, and regulation. Record of Society of Actuaries 1983 Vol. 9, No. 4

Description: Direct Primary Care (DPC) is a newer model of primary care delivery in which patients or employers pay for care directly on a membership basis; insurance and other third-party payment is not used. Early studies show significantly improved patient health outcomes and lower expenditures for DPC patients compared with similar patients receiving traditionally delivered primary care. Additional research is needed to better understand physician perspectives about the model and the role of patient selection in early results.In this session we discuss research projects that may shed light on the DPC model and on whether early results indicate more about the model or about the patients who use it.We discuss an SoA research project that interviews DPC physicians to better understand their views about the model and its early results. We also discuss a paper that analyzes characteristics of patients who receive primary care from a DPC physician and compares them to characteristics of patients who receive primary care in more traditional ways. This cross-sectional study surveys all adult patients of a convenience sample of several DPC practices. Variables include demographics, socio-economic status (SES), type of additional coverage (if any), whether DPC fees are paid by an employer, and self-reported health status. The Medical Expenditure Panel Survey is the main source of comparison data. For a given cohort of demographics and additional coverage, we determine whether DPC patients have similar health status, demographics and SES as non-DPC patients. This study will provide insight into the degree of selection into DPC by observable patient characteristics.

Description: In this session, an employer representative and broker will discuss their views on the current health care marketplace and cost containment including utilization review, self-funded plans and ASOs. From Record of the Society of Actuaries 1987 Vol. 13, No. 1.

Description: This session discussion is about health care trends including current experience, measurement problems, effect of selection, and variation by size of group. Also discussed is the new Medicare RBRVS physician fee schedule, anticipated cost shifting, and AIDS. From Record of Society of Actuaries 1990 Vol. 16, No. 4A.

Description: This 1991 panel discussion is about health care trend including current experience, measurement techniques and problems, uses of trend projections, and other considerations such as the impact of selection and the impact of initial and renewal underwriting practices. From the Record of the Society of Actuaries Vol. 17, No. 3A.

Description: Predictive Analytics and Epigenetics are two of the most impactful driving forces for the future of healthcare, precision medicine, and insurance. Learn why this is true, how if will change the way our industry operates, and how you can stay viable and contribute to the betterment of humanity while also protecting the actuarial profession from obsolescence. Learn how personalized medicine keying off genetic testing is saving life insurers big dollars. The only limit seems to be testing access for their insureds.

Description: This article is the third in a series from the '2011 Living To 100 Symposium.' It examines the growing concern about doctor to patient ratio, including perspectives from Canada, the U.S. and the U.K.

Description: In this paper, we shine a light on the global public health epidemic of intimate partner violence (IPV). This first paper presents background information on the problem with a focus on health and economic impacts for the actuarial audience